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Letters
August 15, 2001

Persistent Pain in Nursing Home Residents

Author Affiliations
 

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthorJody W.ZylkeMD, Contributing EditorIndividualAuthor

JAMA. 2001;286(7):788. doi:10.1001/jama.286.7.788

To the Editor: The Research Letter by Teno and colleagues1 on persistent pain in nursing home residents used data from the Minimum Data Set (MDS), a nationally mandated nursing home resident assessment instrument, and determined that large numbers of nursing home residents lack pain relief.

In December 2000, the Inspector General (IG) of the US Department of Health and Human Services issued a report2 in which the IG determined that there were "apparently differences in nursing home staffs' understanding of the MDS and the resident assessment process.'' The IG recommended that the Health Care Financing Administration "more clearly define MDS elements" and "work with the nursing home industry to provide enhanced and coordinated training to nursing homes to be sure that similar and accurate information about the MDS is being disseminated."2(p15)

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